Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.72 / $338.72 / $338.72	Facility		$338.72	$338.72	$338.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.92 / $338.72 / $350.20	Professional		$238.92	$338.72	$350.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.13 / $350.36 / $630.65	Professional		$34.13	$350.36	$630.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.91 / $28.92 / $341.79	Facility		$28.91	$28.92	$341.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $35.59 / $521.28	Professional		$35.58	$35.59	$521.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.92 / $219.78 / $219.78	Facility		$38.92	$219.78	$219.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.78 / $237.97 / $517.50	Professional		$219.78	$237.97	$517.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $321.58 / $444.90	Professional		$32.15	$321.58	$444.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.51 / $110.65 / $237.97	Professional		$19.51	$110.65	$237.97
United Facility/Professional Professional Modifier Low / Median / High Price $148.27 / $220.00 / $369.54	Professional		$148.27	$220.00	$369.54